Reference Form

Reference Form

This form cannot be filled out by a relative
To the person filling this out:

The applicant named below has applied for a position at Camp Pondo. Your confidential evaluation is solicited and we invite you to include a personal note regarding the qualifications of the applicant or anything you believe would be of interest to us. By directing you to this form, the applicant has given his/her authorization for you to release this information. Please fill out this form in one sitting (there is no save feature) and submit it to us as soon as possible.
Applicant's Name *

First Name Last Name

Applicant's Address

Reference Person's Address

I hereby affirm and acknowledge that the answers given by me to the foregoing questions are complete and true to the best of my knowledge and belief.* *

Yes
Should be Empty:

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	1-Poor	2-Poor	3-Average	4-Average	5-Average	6-Good	7-Good	8-Good	9-Superior	10-Superior
Teachable
Promptness
Follows Instructions
Outgoing
Emotional Balance
Capacity to Work with Children
Capacity to Work with Youth
Fulfills Obligations
Sense of Humor
Temper Control
Follow Through Ability
Energetic
Trustworthy
Gets Along With Others
Tact (Discretion with Words)
Leadership Ability
Friendly
Moral Reputation on Campus

Questions